ABSTRACT
Worldwide a large number of patients have been suffering from breast lump and this trend is gradually increasing. It is difficult to determine whether a lump is benign or malignant from clinical assessment. Thus the need for microscopic tissue analysis arises. This study was designed to determine the value of fine needle aspiration cytology in the diagnosis of breast lumps and to compare the result of FNAC with histopathological diagnosis to assess its accuracy. A prospective study in the period of January 2009 to December 2010 was done. One hundred and ten (110) patients who came to the Department of Surgery in Mymensingh Medical College Hospital, Bangladesh in two years for their palpable breast masses were chosen for the study. There were 70(63.63%) benign, 33(30.00%) malignant and 07(6.36%) suspicious smears in FNAC. Inadequate samples were repeated. The number of repeats increased the diagnostic accuracy of aspirates which is statistically significant when compared with histopathology. In histopathology Invasive ductal carcinoma was the most commonly reported lesion with maximum incidence in the 4th, 5th, and 6th decades followed by invasive lobular carcinoma and other malignant lesions. FNAC serves as a rapid, economical and reliable tool for the diagnosis of palpable breast lesions and its reliability is influenced by the skillness of the aspirator. So physician should use this tool with clinical experience.
Subject(s)
Biopsy, Fine-Needle , Breast Neoplasms/diagnosis , Breast/pathology , Adult , Bangladesh , Breast Diseases/diagnosis , Breast Diseases/pathology , Breast Neoplasms/pathology , Female , Humans , Middle Aged , Prospective Studies , Reproducibility of Results , Sensitivity and SpecificityABSTRACT
Surgical site infections (SSIs) are the second most common health care associated infection reported to the National Health Safety Network of the centre of disease control and prevention. SSIs by Mycobacterium tuberculosis are uncommon and diagnosis can be missed. Our patient had primary tuberculosis at surgical site without any evidence of tuberculosis at initial investigation. She presented with repeated discharging sinus at the wound of elective lower uterine caesarean section (LUCS). The case was diagnosed by histo-pathological evidence of chronic granulomatous lesion suggestive of tuberculosis from the excised tissue from wound and detection of acid fast bacilli (AFB) from swab by Ziehl Neelsen staining. After proper diagnosis the patient was treated with anti-tubercular drugs regiment for six months as per schedule of national guidelines for management of tuberculosis of Bangladesh Government. Then the patient was cured from unusual long sufferings.
Subject(s)
Surgical Wound Infection , Bangladesh , Female , Humans , Mycobacterium tuberculosis , Postoperative Period , Pregnancy , TuberculosisABSTRACT
Here we present a case of a young psychotic man who presented with chronic abdominal pain without clear history of foreign body (FB) ingestion. On examination patient was euphoric in mood, mildly anaemic & dehydrated from repeated vomiting. Abdomen was tender and rigid in epigastrium with no visible or palpable swelling. Routine hematology and biochemistry being normal, visible & echognic FBs were found on plain x-ray abdomen (AP & Lateral views) & USG abdomen. The case was revealed by plain x-ray and ultrasonography of abdomen. Since the foreign bodies swallowed were elongated, sharp edged or pointed and potentially injurious, no attempt was made to get them out by upper GI endoscopy. Their nature was revealed at formal laparotomy and gastrotomy. The patient recovered uneventfully. He was sent for psychiatric follow up.
